A nurse is caring for a client who is scheduled for an abdominal paracentesis.

The nurse should plan to take which of the following actions?

Assist the client in the left lateral position during the procedure.

Administer a stool softener following the procedure.

Instruct the client to take deep breaths and hold them during the procedure.

Ask the client to empty his bladder prior to the procedure.

Answer and Explanation

The Correct Answer is D

The nurse should ask the client to empty his bladder prior to the procedure.
This is important because a full bladder can obstruct the area where the needle will be inserted and increase the risk of bladder injury during the procedure.
Choice A is incorrect because the client should be positioned sitting upright or lying in bed with the head of the bed elevated during the procedure.
Choice B is incorrect because administering a stool softener is not necessary following an abdominal paracentesis.
Choice C is incorrect because the client should be instructed to exhale and hold their breath during needle insertion to help move the diaphragm upward and away from the area where the needle will be inserted.

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Correct Answer is B

Explanation

A client reports having a fever, night sweats, and cough for 2 days.
These symptoms are associated with infectious diseases such as tuberculosis.
In order to prevent the spread of infection to other patients, this client would require a private room.
A client with diabetes mellitus and acute ketoacidosis does not require a private room based on their diagnosis.
C)A client with a compound fracture of the right femur does not require a private room based on their diagnosis.
D)An older adult client with aspiration pneumonia does not require a private room based on their diagnosis.

A. Use an aseptic technique when changing the dressing. B. Cleanse the site with povidone-iodine. C. Flush the catheter using a 10-mL syringe. D. Change the dressing every 24 hours.

Correct Answer is A

Explanation

The aseptic technique is important to prevent infection when changing the dressing of a central venous access device.
Choice B is not correct because povidone-iodine is not always the recommended cleansing agent for central venous access devices.
Choice C is not correct because a 10-mL syringe may generate too much pressure and damage the catheter.
Choice D is not correct because the dressing does not always need to be changed every 24 hours; the frequency of dressing changes depends on the type of dressing and the condition of the site.

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A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to take which of the following actions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is caring for a client who is scheduled for an abdominal paracentesis.

The nurse should plan to take which of the following actions?